Cushing Syndrome Diagnostic Workup
145,939
Published 2017-11-02
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All Comments (21)
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THANK YOU! This was amazing. Like you said, it is simple but needs to be reviewed. I always remember that ACTH always points to where it is coming from. ↑ ACTH--> points upward. Pituitary. ↓ ACTH--> points downward. Adrenal.
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Ectopic ACTH can be from 1- small cell carcinoma of lung 2- carcinoid tumor 3- medullary carcinoma of thyroid 4- iselt cell tumers of the pancreas
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Note that in early stages of Cushing's, urine test might not show up as abnormal. Dexamethasone test is gonna be more sensitive to that. Plus as a patient, it's a lot easier to take a tablet and come in the next morning, than to pee in a cup for 24 hours and keep the pee in the fridge.
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Excellent! Just made it simple. 1) Anterior Pituitary. 2) Small cell lung cancer, medullary ca thyroid, carcinoid gut, pancreatic tumour, thymus gland tumour.
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Much love to you my man, so concise, clear. Took me almost a day and a half to read what you put in 9 minutes hahaha
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you made this so simple and nice. don't stop what you're doing!
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Bronchial carcinoid ,pancreatic ,thymic tumours , small cell carcinoma lung ,pheochromocytoma ,medullary ca thyroid
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I wish American Endocrinologists knew half of this. Thank you - I have been thoroughly educating myself to speed up my own diagnosis. I have absolutely zero doubt. You rock!
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I'm studying clinical laboratory science and your videos are a huge help!
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"Which tumors can be a source of ectopic ACTH?" In 50% it's small cell lung carcinoma; carcinoids (lung, gut, ovary, pancreas, thymus), pancreatic islet cell tumor, thyroid medullary carcinoma, pheochromocytoma.
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The best video of cushings diagnostic work up. Much love sir! ❤️
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This was absolutely amazing! I finally get it now - thank you so much! Subscribed!
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Clear and concise! Well done sir 👍
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Greatest simplified and easily memorable Diagnosis of Cushing's syndrome...THANK YOU SO MUCH! .I'm definitely subscribing
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You are the best teacher. The way you explain the topic is amazing. God bless you
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Thanks for this!
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I’ve self diagnosed at age 33 after suffering since age 17. I suffered with a massive cardiac fistula and 8.8cm aneurysm in 2016 and it was dissected. Assumed to be congenital. Nope, Cushings. Diagnosis confirmed w Dr, now seeking source (pituitary or adrenal?) I am just SO TIRED OF SUFFERING
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anterior pituatory. Ectopic tumor; Small cell lung carcinoma mostly.
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Thank youu so much medicosis you're a life saver! Now here are the the tumors that could cause ectopic ACTH secretion: small cells lung cancer, pancreatic cancer, thymic cancer, digestive cancer. Am I missing one? Thank youu again!
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Thank you very much. You make this topics very simple and easy to understand
